Individual provider Active NPI

Philip J Klenn, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • East Norriton, PA
National Provider Identifier
1710170865
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD046616L Issued in PA
Practice address
2701 Dekalb Pike
Path Lab
East Norriton, PA 19401-1820
Phone
(570) 366-4606
Fax
(570) 366-5193
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD046616L PA Primary

Addresses

Primary practice location

2701 Dekalb Pike
Path Lab
East Norriton, PA 19401-1820

Mailing address

2701 Dekalb Pike
Path Lab
East Norriton, PA 19401-1820
Phone (570) 366-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151123002779 PA Practitioner - Pathology 7416257514 Reassigns benefits to 2 organizations
I20221003002183 NJ Practitioner - Pathology 7416257514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kentucky College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
Princeton Pathology Services PLLCGroup PAC ID 4082962451, 3 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200

Hospital & facility affiliations

  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC CurrentSince May 1, 2017 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
North Jersey Pathologists Corp. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathlink of New Jersey Anatomic Pathology & Clinical Pathology CurrentSince Jul 26, 2022 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince May 31, 2022 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1710170865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "address_2": "PATH LAB",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "570-366-4606",
            "fax_number": "570-366-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "address_2": "PATH LAB",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "570-366-4606",
            "fax_number": "570-366-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENN",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD046616L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.